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Long non-coding RNAs (lncRNAs) have been reported to play an important role in cardiovascular diseases. The present study aimed to investigate the levels of lncRNA
H19
in patients with coronary artery disease (CAD) and the genetic association of lncRNA
H19
rs217727 and rs4929984 polymorphisms with CAD susceptibility. We detected an upregulated expression of lncRNA
H19
in the peripheral blood of CAD patients compared with healthy controls, and the area under the receiver operating characteristic curve of lncRNA
H19
for CAD diagnosis was 0.918. In addition, rs4929984 was associated with the susceptibility of Han Chinese females to CAD, as shown in the additive and dominant models, and the significant association remained after adjusting for age and Bonferroni correction. The A allele carriers of rs4929984 were correlated with females’ susceptibility to CAD compared with the C allele, and the A-G haplotype of rs4929984-rs217727 was associated with females’ susceptibility to CAD. Furthermore, rs217727 and rs4929984 were associated with the levels of clinicopathological parameters of CAD cases. We suggest that lncRNA
H19
has a potential to be a diagnostic biomarker for CAD; rs4929984 polymorphism is associated with females’ susceptibility to CAD in the Han Chinese population, and lncRNA
H19
variants may influence lipid metabolism, inflammation, and coagulation function of CAD patients.